Inspection on 29/04/09 for Beeches (The)

This inspection was carried out on 29th April 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beeches (The) 09/05/07

Beeches (The) 31/01/06

Beeches (The) 14/06/05

Beeches (The) 23/11/04

Beeches (The) 06/05/04

Beeches (The) 18/03/04

Similar services:

Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 20/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Beeches (The) The Beeches 48 The Drive Ilford Essex IG1 3JF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Harina Morzeria     Date: 2 9 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Beeches (The) 48 The Drive The Beeches Ilford Essex IG1 3JF 02085183704 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : thebeeches48@onetel.com Dr Chanan Singh Sidhu care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 8 The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home The Beeches is registered to care for younger adults with moderate learning disabilities and associated mental health problems. The home is situated on a busy main road in a residential area in the London Borough of Redbridge. It is within easy reach of a park and the main town centre in Ilford which is accessible by public transport. All service users occupy their own single rooms which are well furnished and decorated. The service users are supported by the manager and staff to maintain their independent living skills, go to the day centres, attend college for various courses as well as accessing community facilities locally. Some residents access day services, others are supported in community based activities by the staff team. Service users are also encouraged to work part time in paid jobs or work as volunteers in charity shops if Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home they wish. Activities are organised both within the home and via various club memberships. Personal care is provided on a 24-hour basis, and all health care needs are met by staff supporting service users to attend appointments with health professionals. The fees for the home range from 700.00 -- 900.00 GBP per week. A copy of the Statement of Purpose and Service User Guide are available in the home, together with a copy of the most recent inspection report. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place on 29 April 2009 and was an unannounced key inspection. Compliance was checked against key standards. The inspection included a site visit to the home as well as a discussion with the deputy manager and manager of the service. Discussions also took place with the people who use the service as well as members of staff present at the time of the inspection. Information was gathered from the Annual Quality Assurance Assessment completed by the manager. A number of records and staff files were also checked. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may wish to move into the home have the information they need to make an informed choice about where they want to live. Assessments are undertaken and people are able to visit the home prior to moving in, which assist staff to meet peoples needs. Each service user has an individual statement of terms and conditions with the home. Evidence: A copy of the last inspection report is available in the hallway for anyone to read, which is good practice. No new admissions have been made to the home since the last inspection. However, the homes procedure is that admissions are not made to the home until a full needs assessment has been undertaken. This was verified at the previous key inspection. Admissions to the home only take place if the service is confident that staff have the skills, ability and qualifications to meet the assessed needs of the prospective service user. Potential service users are given the opportunity to visit the home to assess its suitability prior to moving in. Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: Service users are provided with a Statement of terms and conditions. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service involves individuals in the planning of their care, which influences their lifestyle and quality of life. The home ensures that service users are consulted on a regular basis regarding the service they receive, which ensures that they are involved in the development and review of the service. Evidence: Three service user care plans were inspected which were clear to read. The care plans identify areas such as personal hygiene, physical and health needs, learning disability and behaviour, current and ongoing risks, medication, social contacts. The files also contain an outline of peoples life history, things the person likes to do, food likes and dislikes and daily routine to enable staff to have a profile of the individual person. The care plan shows each identified assessed need or aspiration and the desired outcome. The care plans are person centered and reflect the assessed needs of the individual and how these are to be met by staff, for example for one person, the care plan Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: identifies his personal care needs and for staff to ensure the right water temperature when assisting him as well as how to assist with shaving. The service users spoken to were able to identify their key workers who are responsible for monitoring the care plans and do monthly reviews in conjunction with the service user. One resident has the keys to the front door and his room which enables him to lead an independent lifestyle which he is really pleased about. The people spoken to said there were no unreasonable restrictions on their movements. Monthly meetings are held between staff and the service users and minutes are taken. The minutes show how the people who live in the home are consulted about the way the home is managed. Service users gave positive views about the service in the returned questionnaires completed by them as well as during individual conversations at the time of the key inspection. The service users are responsible for cleaning their own rooms and doing the laundry with support from staff. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged to take part in appropriate activities both inside and outside the home, which assists their development. People maintain contact with their family and friends of which promotes their emotional well-being. The service users like the food, the meals are well-balanced and cater for their varying cultural and dietary needs. Evidence: A comprehensive daily schedule is in place for people living at the home. Each person has their own activity plan for the week which has been discussed and agreed with them. The plan is located in the dining room and lists the activities that each person participates in on a regular basis so that everyone is clear about what they are going to do each day. The activity planned focuses on peoples abilities, likes and dislikes. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: Most people living in the home attend an external day centre for part of the week with just one person attending the day centre daily. Hence, the service users choose their own activities on other days and are supported by staff. On the day of the inspection one person chose to go to the town centre with a member of staff to do some shopping and have lunch out. Other people chose to play group games, watch TV and listen to music in their rooms and were planning to go out in the evening with staff. The home is close to a shopping centre, local pubs, park, cinema and restaurants which enables people to have a choice of activities. This promotes social inclusion and makes people feel valued. The activity plan is evidence of the range of opportunities available to promote and develop peoples independence. These include helping with cleaning their own rooms, shopping and preparing meals, doing their own laundry. Staff assist people who need support in the local community if that is what the person needs to ensure that they have the opportunity to develop as an individual and acheive their identified goals. For example, one person is supported to work at a day centre three days a week. Another person was supported to attend college and successfully completed an English and maths qualification at college. He continues to attend drama classes at a local community centre in Ilford and tours with the drama group to participate in local performances. Some people from the home go to support him when he is performing locally. Three people have leisure passes which enables them to access various local facilities as well as cinema passes so that they can gain reduced rate entry to the cinema. The home organise day trips for example, the whole group went to France in April, and are planning to go to London sightseeing, Legoland, Southend as well as a two-week holiday to Florida in September 2009. The following comments were received from service users in response to a survey sent out prior to the inspection, I like going abroad and going out on trips and day trips. I also like going for lunch and going to the cinema. I enjoy living in the house with the other service users and staff. I go out for lunch and pubs sometimes at night with staff. The service users stated that they are in regular contact with their relatives and friends, who visit them frequently and also go out with them. The service users spoke highly of the service and said the staff treated them with respect, always knocking on the door before being invited into their rooms. Staff were observed interacting with the service users in a warm and respectful manner. Menus are planned weekly at meetings between the service users and staff, when they choose what they wish to eat. Some ethnic dishes are available to reflect the preferences of the service users. The service users assist staff to prepare the main meals and to help with washing-up as well as clearing up. The menus were varied and well-balanced and fresh fruit is available. The people spoken to were very satisfied with the meals and said they are able to choose what they want to eat. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal health care needs, including specialist help, are clearly recorded in each persons care plan and appropriate support is provided to promote the service users well-being. People are protected by the homes policies and procedures in relation to the homes administration and recording of medication. Evidence: The records of peoples personal and health care needs were inspected. Each person has their own personal and health care support plan. They showed that people are receiving regular input from healthcare professionals such as the GP, dentist, optician, chiropodist as well as specialist professionals. Any specialist health care required by service users is addressed by the manager in a professional manner. This ensures that peoples health is being monitored and appropriate action is taken as and when needed. The health information is clearly recorded outlining the outcome of appointments and follow-up action is taken by staff as directed by the specialist. People living in the home need differing levels of help with personal care and staff were observed to be providing the service users with sensitive and flexible personal Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: support in private. Service users spoken to confirmed that they are happy with the support they receive around personal care needs. Each service user has a medication profile in their files. None of the service users are self-medicating. The home has a contract with a local pharmacist group for supply of medication and they carry out monthly audits of the medication as well as staff training. Medication stocks were safely stored and the medication administration records inspected were found to be in order. Clear instructions were available for staff to ensure that service users comply with the medication administration process. This promotes the good health of people living in the home. No one in the home was receiving controlled drugs, however the manager should obtain a controlled drugs cupboard for safe storage of controlled medicines should these be required to be stored. A recommendation has been made. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home can be confident that their views are listened to and acted upon. People are protected by clear safeguarding adults policies and procedures, staff have completed safeguarding adults training and are aware of the action to follow should there be any concerns. Evidence: The service has a complaints procedure, which is up-to-date and contains timescales within which complaints will be resolved. Service users spoken to were aware of how to make a complaint and the manager is aware of the importance of listening to and acting on peoples concerns. The manager stated that the procedure is available in alternative formats upon request. One resident has joined an advocacy group at a day centre she attends and another service user has joined the daffodil advocacy project. The complaint log was examined and this recorded the number of complaints/concerns, action taken and the outcome for the complainant. The manager ensures that staff routinely record all verbal issues of concern or dissatisfaction expressed, and all such concerns have been acted upon and resolved. The home learns from complaints in order to improve its service. All the service users and staff have been informed via a home visit by an advocacy project about the service it offers and how to access this. There are sufficient policies and procedures for safeguarding people who use the Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: service. The manager and staff have completed safeguarding training and are clear about the procedure to be followed should there be a safeguarding concern. One safeguarding incident was reported which was appropriately dealt with by the manager. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users say they are happy with the accommodation and the facilities, which promote their independence and they feel safe. They live in a home that is comfortable and clean. Evidence: The Beeches is an eight bedded home situated in a residential area in Ilford, which provides a physical environment that is appropriate to meet the specific needs of the people who live there. There is a small garden to the rear of the house with benches for service users to use during fine weather. The provider plans to build a covered area so that people who smoke can do so here. Service users are encouraged to personalise their own bedrooms and the rooms seen were found to be so. All the homes fixtures and fittings meet the needs of individuals and can be changed if required. The shared areas provide a choice of communal space and service users can meet their relatives and friends in private. The service users spoken to said they were very pleased with their accommodation and their bedrooms. There are sufficient bathrooms and toilets to meet the needs of the people who use the service. No one requires any specialist equipment at present however, this will be provided for anyone who needs it in the future. The home is well lit, clean and tidy. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: There is a good infection control policy and staff are encouraged to follow this in order to reduce the risk of infection. The manager and provider are aware that the home is in need of refurbishment in all areas and the inspector was informed that this will be progressed when people are away on holiday for a fortnight. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a good recruitment procedure in place to ensure that service users are safeguarded and their interests protected. An effective, competent staff team is available to deliver person centred care to people using the service. Evidence: The home has a stable, established staff team. There are normally three staff on each daytime shift and one person who does waking night duty. There is always a manager on call for out of hours cover. The service users and staff stated that they were satisfied with the level of staffing in the home. This ensures that good quality care is provided to the people living in the home. All the staff have attained National Vocational Qualification Level 2 and some staff have NVQ level 3. Staff members undertake external qualifications beyond basic requirements. The manager encourages and enables this and recognises the benefits of a skilled, trained workforce. Information is clearly documented on peoples files to evidence that staff had undertaken training in safeguarding, food and hygiene, health and safety, medication administration, Mental Capacity Act training and community mental health care training, so that they are able to meet the specific needs of people using the service. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: The files of two newly recruited staff were examined. Proper recruitment procedures had been followed by interviewing candidates and making Criminal Records Bureau checks and obtaining references, before they started work at the home. The AQAA states that two service users are regularly involved in the recruitment process. All new staff had undergone a written induction and were trained in mandatory health and safety subjects. Staff had signed that they had read the homes policies and procedures, for example receiving gifts and confidentiality of information. There were records to show that regular staff supervision was taking place. This means that staff are being supported to work with people living in the home in a consistent way. This improves the quality of care for people living in the home. Staff also receive annual appraisals. This assists them with regard to their own professional development. Staff meetings take place regularly. The following feedback was received from people who use the service and their relatives, I go out for lunch and pubs sometimes with staff. They are very good to me and I enjoy their company. --care is of a high standard and ----appears very happy with staff, they are very sensitive to his needs. The staff are very good. They spend lots of time and energy arranging leisure activities and holidays above the call of duty. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered manager has the required qualifications and experience and is competent to run the home to meet its stated aims and objectives. The manager communicates a clear sense of direction about best practice, particularly in relation to continuous service improvement. The views of the people who use the service and staff are listened to and valued. Evidence: An experienced manager manages the home. The manager has passed their Registered Managers Award and has experience in dealing with learning disabilities and mental health disorders and also in managing a diverse staff team. The manager also keeps her knowledge and skills up to date by researching the internet, and receives up to date information from groups such as the Mental Health Foundation and Learning Disability Foundation. She is supported by a deputy manager who also has relevant qualifications and skills to manage the service. The service follow current legislation and keep up to date with changes by attending training sessions, forums and Skills For Care conferences. The service have a business plan and an annual development plan Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: and have retained the Investors in People Award which they first attained in 2006. The manager is knowledgeable with regard to the people living in the home and their specific needs, which assists to ensure peoples individual needs are met. The atmosphere in the home is very relaxed and welcoming. The service have an established quality assurance system. Questionnaires are annually sent to the people living at the home, family members and professionals. Feedback received from this is used to monitor, review and develop the service. This will assist and further improve the quality of care provided to the people who use the service. The manager ensures that weekly service user meetings take place to obtain the views of the people living in the home. This promotes the service users self-esteem and empowers them. One relative commented, I am very happy with the quality of life and standard of care that ----- receives. The proprietor undertakes monthly Regulation 26 monitoring visits to monitor and report on the quality of the service being provided in the home. Health and safety documentation is available in the home to ensure compliance with health and safety legislation. The home has current public liability insurance. All records seen were found to be in order. This promotes the health and safety of people living in the home and the staff that work there to support them. The home provides sufficient assistance to ensure effective safeguarding and management of individuals money including record-keeping. The registered person has responsibility for the personal allowance of service users and secure facilities are provided for their safe keeping, with records being maintained. The manager, senior staff and staff at all levels have a good understanding of the risk assessment processes and this is taken into account in all aspects of the running of the home. Record-keeping is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. People who use the service can gain access to their records and contribute to them. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 Although comprehensive care plans are available these need to be re-written and updated in a new format as discussed during the key inspection. The registered person to purchase a controlled drugs cabinet, in order to safely store controlled drugs, which complies with current regulations and guidance issued by the Royal Pharmaceutical Society of Great Britain. 2 20 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!